Out of State Medicaid

Billing requirements can vary significantly from state to state.

• Requirements change frequently and are difficult to manage
• Most facilities do not try to pursue

Credentialing for each state is necessary for both the facility and the providers.

• Re-credentialing is necessary with varying timelines
• Rules are different for each state

Complicated process results in delays in reimbursement.

Solution Highlights

Aspirion provides a comprehensive solution specific for each client that utilizes state-by-state billing expertise and proactively manages provider credentialing details to maximize timely reimbursements.

• Identify Managed Care
• Comprehensive Facility and Physician credentialing
• Schedule re-validation to avoid lapses in coverage
• Scheduled re-validation to avoid lapses in coverage
• Timely billing and follow up processes for fast reimbursements and shorter A/R cycle
• Leverage electronic claim submissions
• Custom reporting of applications, enrollment list, credentialing status, etc.
• HIPAA/HITECH